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NPI Code Detail

MEDICARE: HELGESON FADEL EYE PRO

MEDICARE: HELGESON FADEL EYE PRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1417410283
Entity Type Code : Organization
Provider Name (Legal Business Name) : HELGESON FADEL EYE PRO
Provider Business Mailing Address
First Line : 3315 CHARTREUSE WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77082-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 S EXPRESSWAY 83 STE B5
Second Line :
City : HARLINGEN
State : TX
Zip : 78552-5904
Country : US
Telephone Number : 806-771-3926
Fax Number :
Authorized Official
Title or Position : PARTIAL OWNER
Name : EMILE FADEL
Credential :
Telephone Number : 956-655-0008
Provider Enumeration Date : 04/09/2019
Last Update Date : 04/09/2019

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Directions to “HELGESON FADEL EYE PRO ” Practice Location

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